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起搏器植入术后发生迟发性囊袋血肿的临床分析
作者:智宏 叶行舟 任利群 王惠萍 王润明 
单位:东南大学附属中大医院,心内科,江苏,南京,210009
关键词:心脏起搏器植入术 迟发性囊袋血肿 手术并发症 
分类号:R654.206
出版年·卷·期(页码):2006·25·第六期(454-455)
摘要:

目的:观察永久性心脏起搏器植入术后迟发性囊袋血肿(即手术1周后出现血肿)的发生情况,并探讨其原因.方法:对从1999年8月至2005年3月植入或更换起搏器的310例患者的临床资料进行回顾性研究.结果:310例中有5例发生迟发性囊袋血肿,发生率1.6%,占整个急性期囊袋出血的35.7%.结论:心脏起搏器植入术后迟发性囊袋血肿发生率较低,与病人的一般情况有关.

Objective To observe the occurrence of delayed hematoma of pacemaker pocket after pacemaker implantation and to determine its causes.Method 310 patients receiving a first or second pace maker implantation were retrospetive analyzed operating data of the cases.The intra-pocket hemorrhage 7 days after implantation of pacemaker was defined as delayed pocket hemorrhage.Result Five patients produced delayed hemorrhage of pacemaker pocket in all implanted patients(1.6%),accounting for 35.7% of hematoma of the pacemaker pocket in acute stage after pacemaker implantation.Conclusion The incidence of delayed hematoma of pacemaker pocket is low and related to the condition of patients.

参考文献:

[1] 徐文莉, 郭新贵, 林宪. 植入埋藏式起搏器的并发症、故障原因分析及防治. 山东医药2001(15). doi:10.3969/j.issn.1002-266X.2001.15.009
[2] HILDICK-SMITH D J, LOWE M D, NEWELL S A. Ventricular pacemaker upgrade:experience,complications and recommendations. 1998(4)
[3] 王斌, 郭继鸿. 迟发性起搏器囊袋血肿13例分析. 中国实用内科杂志2002(4). doi:10.3969/j.issn.1005-2194.2002.04.012
[4] 张清华, 郭继鸿, 乐美成. 现代人工心脏起搏学, 1998 

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